- CVS Health (Albany, NY)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and ... approximately 10% of time for business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Knowledge of CVS/Aetna's policies and… more
- Trinity Health (Troy, NY)
- …Senior Registration Associate will perform all job functions in a courteous and professional manner consistent with the mission and core values of St Peter's Health ... standards and practice workflows: Scheduling and registration Check-in Check-out Charge entry/ claims End of day processes General duties including but not limited… more
- City of New York (New York, NY)
- …Chief. The primary focus of the Conviction Integrity Bureau is to investigate claims of actual innocence and wrongful conviction and to identify potential systemic ... the work of the CIB. -Provide coaching, performance evaluation and feedback, and professional development to ensure high standards of work. -Assist in leading and… more
- ASM Global (New York, NY)
- …resolution.* Coordinate with insurers and brokers on coverage and claims handling.* Support internal investigations and pre-litigation dispute resolution.* Develop ... Collaborative and innovative work environment.* Competitive compensation and benefits.* Professional development and growth opportunities. COMPENSATIONCompetitive salary between $130,000-$140,000,… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... Administrative/Secretarial Experience required, - High school diploma or equivalent - Professional Training - MS Office Suite required (Excel, Word, PowerPoint) Job… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... phone calls and requests to meet patient needs.Appearance-Maintains an appropriate professional appearance. Maintains working environment in a clean, safe, orderly… more
- OLV Human Services (Lackawanna, NY)
- …all federal and state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others 11. Keep all patient, personnel and ... by welcoming all patients in a warm, friendly manner, presenting a professional image, and anticipating specific patient needs such as hearing impairments, language… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... an accredited Nurse Practitioner program, and licensed and currently registered as a Professional Nurse in the state of New York - Must pass pharmacology examination… more
- Paramount (New York, NY)
- …manual benefit calculations supporting both US and non-US plans. - Resolve issues and claims related to the pension plans. - Coordinate the work of external pension ... of the pension industry, laws, regulations, and best practices - Professional qualification or certification in pension management preferred - Strong communication,… more
- Mobile Health (Queens, NY)
- …and Operations on budgeting, purchasing, and asset reporting. + Manage warranty claims , vendor RMA processes, and hardware refresh cycles. + Collaborate with vendors ... systems. Benefits + Comprehensive Benefits + 401(K) + Generous PTO/Holidays + Professional Growth + Flexible working arrangements Why Mobile Health? Mobile Health… more